Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $8,942.39	Facility		$1,000.00	$7,838.38	$8,942.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.73 / $874.41 / $1,471.31	Professional		$873.73	$874.41	$1,471.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.49 / $1,330.10 / $1,726.53	Professional		$914.49	$1,330.10	$1,726.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $261.67 / $1,394.32	Professional		$32.34	$261.67	$1,394.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $796.17 / $1,041.80 / $1,298.08	Facility		$796.17	$1,041.80	$1,298.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,041.80 / $1,358.87 / $1,726.53	Professional		$1,041.80	$1,358.87	$1,726.53
United Facility/Professional Facility Modifier Low / Median / High Price $7,315.00 / $11,259.00 / $12,494.00	Facility		$7,315.00	$11,259.00	$12,494.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,075.49 / $1,370.03 / $2,107.61	Professional		$1,075.49	$1,370.03	$2,107.61